Average Medicaid Office Visit Payments in Rainbow City, AL: $50.71
Avg. Paid
$50.71
Range
$0.00 – $81.04
Total Claims
48,681
Providers
23
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Rainbow City, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Denise Michelle Adcock
170 Independent Dr |
$60.39 | 9,764 | 8,773 |
|
Benjamin C Hester
170 Independent Dr |
$71.89 | 6,907 | 6,229 |
|
Richard Edward Grant
3015 Steele Station Rd |
$18.09 | 6,149 | 5,375 |
|
Michael David Gross
105 Church St |
$55.97 | 5,523 | 4,398 |
|
Etowah Pediatrics
170 Independent Dr |
$81.04 | 4,867 | 4,412 |
|
Stephen Fred Jones
310 W Grand Ave |
$46.86 | 3,620 | 3,176 |
|
Jason C Junkins
115 W Grand Ave |
$61.63 | 3,186 | 2,147 |
|
Ivonne Rivera Joiner
115 W Grand Ave Ste 90 |
$31.22 | 2,260 | 1,896 |
|
Thomas Kevin Lackey
3804 Rainbow Dr |
$6.05 | 1,769 | 1,691 |
|
Dierick R Sparks
3102 Rainbow Dr |
$31.52 | 910 | 703 |
|
Jordan Holder
310 W Grand Ave |
$34.98 | 662 | 466 |
|
Danny Ray Sparks
3102 Rainbow Dr |
$10.10 | 648 | 508 |
|
Sharon M Haynes
3212 Rainbow Dr |
$75.81 | 601 | 515 |
|
Harshad Patel
207 E Grand Ave |
$22.43 | 506 | 452 |
|
John Patrick Padula
107 Church St |
$4.45 | 455 | 436 |
|
Debbie Lowe
3015 Steele Station Rd |
$0.00 | 276 | 273 |
|
Complex Solutions Llc
3015 Steele Station Rd |
$0.00 | 220 | 209 |
|
Rochelle Grant
207 E Grand Ave |
$0.38 | 99 | 27 |
|
Daniel R. Sparks
3102 Rainbow Dr |
$6.69 | 88 | 74 |
|
Libby Turnipseed
987 Charada Lake Rd |
$0.00 | 80 | 77 |
|
Brandi Jo Parker
2901B Rainbow Dr |
$61.39 | 36 | 30 |
|
Coosa Family Care Llc
310 W Grand Ave |
$15.16 | 31 | 28 |
|
Frederick Wayne Kelly
310 W Grand Ave |
$0.00 | 24 | 12 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Rainbow City, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rainbow City, AL is $50.71 per claim, based on 48,681 claims from 23 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Rainbow City, AL?
There are 23 Medicaid providers offering Office Visit related services in Rainbow City, AL according to public payment data.
What is the price range for Office Visit in Rainbow City, AL?
Medicaid reimbursement for Office Visit in Rainbow City, AL ranges from $0.00 to $81.04 per claim, with an average of $50.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Rainbow City, AL
Physical Therapy
Avg $21.35
39,499 claims
Blood Work & Lab Tests
Avg $4.44
23,076 claims
Emergency Room Visit
Avg $108.82
22,565 claims
Speech Therapy
Avg $51.45
17,825 claims
Durable Medical Equipment (DME)
Avg $20.83
14,749 claims
Vaccines & Immunizations
Avg $20.80
9,809 claims
Eye Exam
Avg $32.10
7,761 claims
Nursing Facility Care
Avg $3.88
5,187 claims